宫腔镜下重度宫腔粘连分解术后2种抗粘连方法的临床分析

Clinical analysis of two kinds of anti-adhesion method after transcervical resection of adhesion

目的比较宫腔镜下分离宫腔粘连后2种抗粘连方法的疗效。方法 47例宫腔镜下宫腔Ⅱ度、Ⅲ度粘连分离术后患者,随机分为球囊导尿管组(实验组,26例)和宫内节育环组(对照组,21例),术后2个月宫腔镜下观察两组宫腔内粘连及月经量恢复情况。结果实验组治愈15例,有效8例,无效3例,成功率88.5%;对照组治愈10例,有效6例,无效5例,成功率76.2%。实验组的治疗成功率明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论宫腔镜下Ⅱ度、Ⅲ度宫腔粘连分离术后,宫内留置球囊导尿管能显著减少术后宫腔再粘连的发生,有利于月经量恢复,较之传统术后留置宫内节育环有明显的优势。

Objective To Compare the effect of two kinds of anti-adhesion method after transcervical resec- tion of adhesion. Methods 47 patients with pathologic II , Ill degree of adhesion who have been treated with transcer- vical resection of adhesion were randomly divided into two groups, test group （ balloon catheter group, n = 26 ） and con- trol group （ loop group, n = 21 ）. Two months later, the quantity of menstrual recovery of the two groups under hysteros- copy was observed. Results The successful rate of test group was higher than that of control group （ 88. 5% vs. 76. 2% , P 〈 0. 05 ）. Conclusion The patients with II , II1 degree of uterine adhesion who had been treated with trans- cervical resection of adhesion has obvious advantages to place the balloon catheter in cavity, it can significantly reduce the occurrence of postoperative uterine adhesion, and compared with the traditional method （ place the loop in the cavi- ty）, it is more beneficial in the recovery of menstrual quantity.